神经病理性疼痛
痛觉超敏
再现性
麻醉
伤害
神经痛
感觉阈
置信区间
痛阈
医学
听力学
刺激(心理学)
痛觉过敏
内科学
心理学
数学
受体
统计
认知科学
心理治疗师
作者
Sandra R. Chaplan,Flemming W. Bach,J W Pogrel,Jin Mo Chung,Tony L. Yaksh
标识
DOI:10.1016/0165-0270(94)90144-9
摘要
We applied and validated a quantitative allodynia assessment technique, using a recently developed rat surgical neuropathy model wherein nocifensive behaviors are evoked by light touch to the paw. Employing von Frey hairs from 0.41 to 15.1 g, we first characterized the percent response at each stimulus intensity. A smooth log-linear relationship was observed, with a median 50% threshold at 1.97 g (95% confidence limits, 1.12–3.57 g). Subsequently, we applied a paradigm using stimulus oscillation around the response threshold, which allowed more rapid, efficient measurements. Median 50% threshold by this up-down method was 2.4 g (1.81–2.76). Correlation coefficient between the two methods was 0.91. In neuropathic rats, good intra- and inter-observer reproducibility was found for the up-down paradigm; some variability was seen in normal rats, attributable to extensive testing. Thresholds in a sizable group of neuropathic rats showed insignificant variability over 20 days. After 50 days, 61% still met strict neuropathy criteria, using survival analysis. Threshold measurement using the up-down paradigm, in combination with the neuropathic pain model, represents a powerful tool for analyzing the effects of manipulations of the neuropathic pain state.
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